Metered dose inhaler for beclomethasone dipropionate

ABSTRACT

A metered dose inhaler having part or all of its internal surfaces coated with one or more fluorocarbon polymers, optionally in combination with one or more non-fluorocarbon polymers, for dispensing an inhalation drug formulation comprising beclomethasone dipropionate or a physiologically acceptable solvate thereof, and a fluorocarbon propellant, optionally in combination with one or more other pharmacologically active agents or one or more excipients.

This application is a continuation of U.S. application Ser No.08/945,141, now U.S. Pat. No. 6,149,892 which was filed pursuant to 35U.S.C. §371 as a United States National Phase Application ofInternational Application No. PCT/US96/05009 filed Apr. 11, 1996, whichclaims priority from U.S. application Ser. No. 08/422,280, filed Apr.14, 1995. The entire contents of each of the above-identifiedapplications are hereby incorporated by reference.

BACKGROUND OF THE INVENTION

Drugs for treating respiratory and nasal disorders are frequentlyadministered in aerosol formulations through the mouth or nose. Onewidely used method for dispensing such aerosol drug formulationsinvolves making a suspension formulation of the drug as a finely dividedpowder in a liquefied gas known as a propellant. The suspension isstored in a sealed container capable of withstanding the pressurerequired to maintain the propellant as a liquid. The suspension isdispersed by activation of a dose metering valve affixed to thecontainer.

A metering valve may be designed to consistently release a fixed,predetermined mass of the drug formulation upon each activation. As thesuspension is forced from the container through the dose metering valveby the high vapor pressure of the propellant, the propellant rapidlyvaporizes leaving a fast moving cloud of very fine particles of the drugformulation. This cloud of particles is directed into the nose or mouthof the patient by a channelling device such as a cylinder or open endedcone. Concurrently with the activation of the aerosol dose meteringvalve, the patient inhales the drug particles into the lungs or nasalcavity. Systems of dispensing drugs in this way are known as “metereddose inhalers” (MDI's). See Peter Byron, Respiratory Drug Delivery, CRCPress, Boca Raton, Fla. (1990) for a general background on this form oftherapy.

Patients often rely on medication delivered by MDI's for rapid treatmentof respiratory disorders which are debilitating and in some cases, evenlife threatening. Therefore, it is essential that the prescribed dose ofaerosol medication delivered to the patient consistently meet thespecifications claimed by the manufacturer and comply with therequirements of the FDA and other regulatory authorities. That is, everydose in the can must be the same within close tolerances.

Some aerosol drugs tend to adhere to the inner surfaces, i.e., walls ofthe can, valves, and caps, of the MDI. This can lead to the patientgetting significantly less than the prescribed amount of drug upon eachactivation of the MDI. The problem is particularly acute withhydrofluoroalkane (also known as simply “fluorocarbon” propellantsystems, e.g., P134a and P227, under development in recent years toreplace chlorofluorocarbons such as P11, P114, and P12.

We have found that coating the interior can surfaces of MDI's with afluorocarbon polymer significantly reduces or essentially eliminates theproblem of drug adhesion or deposition on the can walls and thus ensuresconsistent delivery of medication in aerosol form from the MDI.

SUMMARY OF THE INVENTION

A metered dose inhaler having part or all of its internal metallicsurfaces coated with one or more fluorocarbon polymers, optionally incombination with one or more non-fluorocarbon polymers, for dispensingan inhalation drug formulation comprising beclomethasone dipropionate ora physiologically acceptable solvate thereof, and a fluorocarbonpropellant, optionally in combination with one or more otherpharmacologically active agents or one or more excipients.

DETAILED DESCRIPTION OF THE INVENTION

The term “metered dose inhaler” or “MDI” means a unit comprising a can,a crimped cap covering the mouth of the can, and a drug metering valvesituated in the cap, while the term “MDI system” also includes asuitable channelling device. The terms “MDI can” means the containerwithout the cap and valve. The term “drug metering valve” or “MDI valve”refers to a valve and its associated mechanisms which delivers apredetermined amount of drug formulation from an MDI upon eachactivation. The channelling device may comprise, for example, anactuating device for the valve and a cylindrical or cone-like passagethrough which medicament may be delivered from the filled MDI can viathe MDI valve to the nose or mouth of a patient, e.g. a mouthpieceactuator. The relation of the parts of a typical MDI is illustrated inU.S. Pat. No. 5,261,538 incorporated herein by reference.

U.S. Pat. No. 3,312,590, incorporated herein by reference, teaches anantiinflammatory steroid compound know by the chemical name 9-chloro-11D, 17, 21-trihydroxy-16fi-methylprergna-1,4-diene-3, 20-dione 17,21-dipropionate and the generic name “beclomethasone dipropionate”.Beclomethasone dipropionate in aerosol form, has been accepted by themedical community as useful in the treatment of asthma and is marketedunder the trademarks “Beclovent”, “Becotide”, and “Beconase”.

The term “drug formulation” means beclomethasone dipropionate (or aphysiologically acceptable solvate thereof) optionally in combinationwith one or more other pharmacologically active agents such as otherantiinflammatory agents, analgesic agents or other respiratory drugs andoptionally containing one or more excipients. The term “excipients” asused herein mean chemical agents having little or no pharmacologicalactivity (for the quantities used) but which enhance the drugformulation or the performance of the MDI system. For example,excipients include but are not limited to surfactants, preservatives,flavorings, antioxidants, antiaggregating agents, and cosolvents, e.g.,ethanol and diethyl ether.

Suitable surfactants are generally known in the art, for example, thosesurfactants disclosed in European Patent Application No. 0327777. Theamount of surfactant employed is desirable in the range of 0.0001% to50% weight to weight ratio relative to the drug, in particular, 0.05 to5% weight to weight ratio. A particularly useful surfactant is1,2-di[7-(F-hexyl)hexanoyl]-glycero-3-phospho-N,N,N-trimethylethanolaminealso know as 3,5,9-trioxa-4-phosphadocosan-1-aminium,17,17,18,18,19,19,20,20,21,21,22,22,22-tridecafluoro-7-[(8,8,9,9,10,10,11,11,12,12,13,13,13-tridecafluoro-1-oxotridecyl)oxy]-4-hydroxy-N,N,N-trimethyl-10oxo-,inner salt,4-oxide.

A polar cosolvent such as C₂₋₆ aliphatic alcohols and polyols egethanol, isopropanol and propylene glycol, and preferably ethanol, maybe included in the drug formulation in the desired amount, either as theonly excipient or in addition to other excipients such as surfactants.Suitably, the drug formulation may contain 0.01 to 5% w/w based on thepropellant of a polar cosolvent eg ethanol, preferably 0.1 to 5% w/we.g. 0.1 to 1% w/w.

It will be appreciated by those skilled in the art that the drugformulation for use in the invention may, if desired, containbeclomethasone dipropionate (or a physiologically acceptable solvatethereof) in combination with one or more other pharmacologically activeagents. Such medicaments may be selected from any suitable drug usefulin inhalation therapy. Appropriate medicaments may thus be selectedfrom, for example, analgesics, e.g. codeine, dihydromorphine,ergotamine, fentanyl or morphine; anginal preparations, e.g. diltiazem;antiallergics, e.g. cromoglycate, ketotifen or nedocromil;antiinfectives e.g. cephalosporins, penicillins, streptomycin,sulphonamides, tetracyclines and pentamidine; antihistamines, e.g.methapyrilene; anti-inflammatories, e.g. fluticasone (e.g. thepropionate), flunisolide, budesonide, tipredane or triamcinoloneacetonide; antitussives, e.g. noscapine; bronchodilators, e.g.salbutamol, salmeterol, ephedrine, adrenaline, fenoterol, formoterol,isoprenaline, metaproterenol, phenylephrine, phenylpropanolamine,pirbuterol, reproterol, rimiterol, terbutaline, isoetharine,tulobuterol, orciprenaline, or(−)-4-amino-3,5-dichloro-α-[[[6-[2-(2-pyridinyl)ethoxy]hexyl]amino]methyl]benzenemethanol;diuretics, e.g. amiloride; anticholinergics e.g. ipratropium, atropineor oxitropium; hormones, e.g. cortisone, hydrocortisone or prednisolone;xanthines e.g. aminophylline, choline theophyllinate, lysinetheophyllinate or theophylline; and therapeutic proteins and peptides,e.g. insulin or glucagon. It will be clear to a person skilled in theart that, where appropriate, the medicaments may be used in the form ofsalts (e.g. as alkali metal or amine salts or as acid addition salts) oras esters (e.g. lower alkyl esters) or as solvates (e.g. hydrates) tooptimise the activity and/or stability of the medicament and/or tominimise the solubility of the medicament in the propellant.

Particularly preferred drug formulations contain beclomethasonedipropionate (or a physiologically acceptable solvate thereof) incombination with a bronchodilator such as salbutamol (e.g. as the freebase or the sulphate salt) or salmeterol (e.g. as the xinafoate salt).

“Propellants” used herein mean pharmacologically inert liquids withboiling points from about room temperature (25° C.) to about −25° C.which singly or in combination exert a high vapor pressure at roomtemperature. Upon activation of the MDI system, the high vapor pressureof the propellant in the MDI forces a metered amount of drug formulationout through the metering valve then the propellant very rapidlyvaporizes dispersing the drug particles. The propellants used in thepresent invention are low boiling fluorocarbons; in particular,1,1,1,2-tetrafluoroethane also known as “propellant 134a” or “P134a” and1,1,1,2,3,3,3-heptafluoropropane also know as “propellant 227” or “P227”.

Drug formulations for use in the invention may be free or substantiallyfree of formulation excipients e.g. surfactants and cosolvents etc. Suchdrug formulations are advantageous since they may be substantially tasteand odour free, less irritant and less toxic than excipient-containingformulations. Thus, a preferred drug formulation consists essentially ofbeclomethasone dipropionate (or a physiologically acceptable solvatethereof), optionally in combination with one or more otherpharmacologically active agents particularly salbutamol (or aphysiologically acceptable salt thereof), and a fluorocarbon propellant.Preferred propellants are 1,1,1,2-tetrafluoroethane,1,1,1,2,3,3,3-heptafluoro-n-propane or mixtures thereof, and especially1,1,1,2-tetrafluoroethane.

Most often the MDI can and cap are made of aluminum or an alloy ofaluminum, although other metals not affected by the drug formulation,such as stainless steel, an alloy of copper, or tin plate, may be used.An MDI can may also be fabricated from glass or plastic. Preferably,however, the MDI cans employed in the present invention are made ofaluminium or an alloy thereof. Advantageously, strengthened aluminium oraluminum alloy MDI cans may be employed. Such strengthened MDI cans arecapable of withstanding particularly stressful coating and curingconditions, e.g. particularly high temperatures, which may be requiredfor certain fluorocarbon polymers. Strengthened MDI cans which have areduced tendency to malform under high temperatures include MDI canscomprising side walls and a base of increased thickness and MDI canscomprising a substantially ellipsoidal base (which increases the anglebetween the side walls and the base of the can), rather than thehemispherical base of standard MDI cans. MDI cans having an ellipsoidalbase offer the further advantage of facilitating the coating process.

The drug metering valve consists of parts usually made of stainlesssteel, a pharmacologically inert and propellant resistant polymer, suchas acetal, polyamide (e.g., Nylon®), polycarbonate, polyester,fluorocarbon polymer (e.g., Teflon®) or a combination of thesematerials. Additionally, seals and “O” rings of various materials (e.g.,nitrile rubbers, polyurethane, acetyl resin, fluorocarbon polymers), orother elastomeric materials are employed in and around the valve.

Fluorocarbon polymers for use in the invention include fluorocarbonpolymers which are made of multiples of one or more of the followingmonomeric units: tetrafluoroethylene, (PTFE), fluorinated ethylenepropylene (FEP), perfluoroalkoxyalkane (PFA), ethylenetetrafluoroethylene (ETFE), vinyldienefluoride (PVDF), and chlorinatedethylene tetrafluoroethylene. Fluorinated polymers which have arelatively high ratio of fluorine to carbon, such as perfluorocarbonpolymers e.g. PTFE, PFA, and FEP, are preferred.

The fluorinated polymer may be blended with non-fluorinated polymerssuch as polyamides, polyimides, polyethersulfones, polyphenylenesulfides and amine-formaldehyde thermosetting resins. These addedpolymers improve adhesion of the polymer coating to the can walls.Preferred polymer blends are PTFE/FEP/polyamideimide,PTFE/polyethersulphone (PES) and FEP-benzoguanamine.

Particularly preferred coatings are pure PFA, FEP and blends of PTFE andpolyethersulphone (PES).

Fluorocarbon polymers are marketed under trademarks such as Teflon®,Tefzel®, Halar®, Hostaflon®, (a copolymer prepared by copolymeizing TFEand perfluoropropyl vinyl ether) Polyflon® and Neoflon®. Grades ofpolymer include FEP DuPont 856-200, (a coplymer prepared bycopolymerizing TFE and perfluoropropyl vinyl ether) PFA DuPont 857-200,PTFE-PES DuPont 3200-100, PTFE-FEP-polyamideimide DuPont 856P23485, FEPpowder DuPont 532 and PFA Hoechst 6900n. The coating thickness is in therange of about 1 μm to about 1 mm. Suitably the coating thickness is inthe range of about 1 μm to about 100 μm, e.g. 1 μm to 25 μm. Coatingsmay be applied in one or more coats.

Preferably the fluorocarbon polymers for use in the invention are coatedonto MDI cans made of metal, especially MDI cans made of aluminium or analloy thereof.

The particle size of the particular (e.g., micronised) drug should besuch as to permit inhalation of substantially all the drug into thelungs upon administration of the aerosol formulation and will thus beless than 100 microns, desirably less than microns, and, in particular,in the range of 1-10 microns, e.g., 1-5 microns.

The final aerosol formulation desirably contains 0.005-10% weight toweight ratio, in particular 0.005-5% weight to weight ratio, especially0.01-1.0% weight to weight ratio, of drug relative to the total weightof the formulation.

A further aspect of the present invention is a metered dose inhalerhaving part or all of its internal metallic surfaces coated with one ormore fluorocarbon polymers, optionally in combination with one or morefluorocarbon polymers, for dispersing an inhalation drug formulationcomprising beclomethasone dipropionate and a fluorocarbon propellantoptionally in combination with one or more other pharmacologicallyactive agents and one or more excipients.

A particular formulation for use in the metered dose inhaler of thepresent invention comprises:

(a) beclomethasone dipropionate monohydrate, the particle size ofsubstantially all the monohydrate being less than 20 microns;

(b) at least 0.015% by weight of the formulation of water in addition tothe water of crystallization associated with said monohydrate; and

(c) a fluorocarbon propellant.

Such aerosol formulations desirably contain at least 0.015% (e.g., 0.015to 0.1%) by weight of the formulation of water (excluding the water ofcrystallization associated with the beclomethasone dipropionatemonohydrate), preferably at least 0.02%, for example 0.025% by weight ormore of added water. Preferred formulations according to the inventioncontain at least 0.026%, for example 0.026 to 0.08% by weight of water,in addition to the water of crystallization associated with thebeclomethasone dipropionate monohydrate. Optionally, a cosolvent such asethanol may be included in the formulation in the desired amount.Suitably, the formulation may contain 0.05 to 3.0% w/w based on thepropellant of a polar cosolvent such as ethanol. Preferably thefluorocarbon propellant is 1,1,1,2-tetrafluoroethane,1,1,1,2,3,3,3-heptafluoro-n-propane or mixtures thereof, and especially1,1,1,2-tetrafluoroethane.

Further drug formulations for use in the invention are free orsubstantially free of surfactants. Thus, a further formulation comprisesor consists essentially of beclomethasone dipropionate or aphysiologically acceptable solvate thereof, optionally in combinationwith one or more other pharmacologically active agents, a fluorocarbonpropellant and 0.01 to 0.05% w/w based on the propellant of a polarcosolvent such as ethanol, which formulation is free of surfactant.Preferably the propellant is 1,1,1,2-tetrafluoroethane or1,1,1,2,3,3,3-heptafluoro-n-propane, although mixtures thereof may alsobe used.

A particular aspect of the present invention is an MDI having part oressentially all of its internal surfaces e.g. metallic surfaces coatedwith PFA or FEP, or blended fluoropolymer resin systems such as PTFE-PESwith or without a proper coat of polyamideimide or polyethersulfone fordispersing a drug formulation as defined hereinabove. Preferably the MDIcan is made of aluminum or an alloy thereof.

The MDI can may be coated by the means known in the art of metalcoating. For example, a metal, such as aluminum or stainless steel, maybe precoated as coil stock and cured before being stamped or drawn intothe can shape. This method is well is suited to high volume productionfor two reasons. First, the art of coating coil stock is well developedand several manufacturers can custom coat metal coil stock to highstandards of uniformity and in a wide range of thicknesses. Second, theprecoated stock can be stamped or drawn at high speeds and precision byessentially the same methods used to draw or stamp uncoated stock.

Other techniques for obtaining coated cans is by electrostatic drypowder coating or by spraying preformed MDI cans inside withformulations of the coating fluorinated polymer/polymer blend and thencuring. The preformed MDI cans may also be dipped in the fluorocarbonpolymer/polymer blend coating formulation and cured, thus becomingcoated on the inside and out. The fluorocarbon polymer/polymer blendformulation may also be poured inside the MDI cans then drained outleaving the insides with the polymer coat. Conveniently, for ease ofmanufacture, preformed MDI cans are spray-coated with the fluorinatedpolymer/polymer blend.

The fluorocarbon polymer/polymer blend may also be formed in situ at thecan walls using plasma polymerization of the fluorocarbon monomers.Fluorocarbon polymer film may be blown inside the MDI cans to form bags.A variety of fluorocarbon polymers such as ETFE, FEP, and PTFE areavailable as film stock.

The appropriate curing temperature is dependent on the fluorocarbonpolymer/polymer blend chosen for the coating and the coating methodemployed. However, for coil coating and spray coating temperatures inexcess of the melting point of the polymer are typically required, forexample, about 50° C. above the melting point for up to about 20 minutessuch as about 5 to 10 minutes eg about 8 minutes or as required. For theabove named preferred and particularly preferred fluorocarbonpolymer/polymer blends curing temperatures in the range of about 300° C.to about 400° C., e.g. about 350° C. to 380° C. are suitable. For plasmapolymerization typically temperatures in the range of about 20° C. toabout 100° C. may be employed.

The fluorocarbon polymer may also be formed in situ at the can wallsusing plasma polymerization of the fluorocarbon monomers. Fluorocarbonpolymer film may be blown inside the MDI cans to form bags. A variety offluorocarbon polymers such as ETFE, FEP, and PTFE are available as filmstock.

The MDI's taught herein may be prepared by methods of the art (e.g., seeByron, above and U.S. Pat. No. 5,345,980) substituting conventional cansfor those coated with a fluorinated polymer. That is, beclomethasonedipropionate and other components of the formulation are filled into anaerosol can coated with a fluorinated polymer. The can is fitted with acap assembly which is crimped in place. The suspension of the drug inthe fluorocarbon propellant in liquid form may be introduced through themetering valve as taught in U.S. Pat. No. 5,345,980 incorporated hereinby reference.

The MDI's with fluorocarbon coated interiors taught herein may be usedin medical practice in a similar manner as non-coated MDI's now inclinical use. However the MDI's taught herein are particularly usefulfor containing and dispensing inhaled drug formulations withhydrofluoroalkane fluorocarbon propellants such as 134a with little, oressentially no, excipient and which tend to deposit or cling to theinterior walls and parts of the MDI system. In certain case it isadvantageous to dispense an inhalation drug with essentially noexcipient, e.g., where the patient may be allergic to an excipient orthe drug reacts with an excipient.

MDI's containing the formulations described hereinabove, MDI systems andthe use of such MDI systems for the treatment of respiratory disorderse.g. asthma comprise further aspects of the present invention.

It will be apparent to those skilled in the art that modifications tothe invention described herein can readily be made without departingfrom the spirit of the invention. Protection is sought for all thesubject matter described herein including any such modifications.

The following non-limitative Examples serve to illustrate the invention.

EXAMPLES Example 1

Standard 12.5 mL MDI cans (Presspart Inc., Cary, N.C.) were spray-coated(Livingstone Coatings, Charlotte, N.C.) with primer (DuPont 851-204) andcured to the vendor's standard procedure, then further spray-coated witheither FEP or PFA (DuPont 856-200 and 857-200, respectively) and curedaccording to the vendor's standard procedure. The thickness of thecoating is approximately 10 μm to 50 μm. These cans are then purged ofair (see PCT application number WO94/22722 (PCT/EP94/00921)), the valvescrimped in place, and a suspension of about 24 mg beclomethasonedipropionate in about 18 gm P134a is filled through the valve.

Example 2

Standard 0.46 mm thick aluminum sheet (United Aluminum) was spray-coated(DuPont, Wilmington, Del.) with FEP (DuPont 856-200) and cured. Thissheet was then deep-drawn into cans (Presspart Inc., Cary, N.C.). Thethickness of the coating is approximately 10 μm to 50 μm. These cans arethen purged of air, the valves crimped in place, and a suspension ofabout 60 mg beclomethasone dipropionate in about 18 gm P134A is filledthrough the valve.

Example 3

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith PTFE-PES blend (DuPont) as a single coat and cured according to thevendor's standard procedure. The thickness of the coating is betweenapproximately 1 μm and approximately 20 μm. These cans are then purgedof air, the valves crimped in place, and a suspension of about 68 mgmicronised beclomethasone dipropionate monohydrate in about 6.1 mg waterand about 18.2 g P134a is filled through the valve.

Example 4

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith PTFE-FEP-polyamideimide blend (DuPont) and cured according to thevendor's standard procedure. The thickness of the coating is betweenapproximately 1 μm and approximately 20 μm. These cans are then purgedof air the valves crimped in place, and a suspension of about 68 mgmicronised beclomethasone dipropionate monohydrate in about 6.1 mg waterand about 18.2 g P134a is filled through the valve.

Example 5

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith FEP powder (DuPont FEP 532) using an electrostatic gun. Thethickness of the coating is between approximately 1 μm and approximately20 μm. These cans are then purged of air, the valves crimped in place,and a suspension of about 68 mg micronised beclomethasone dipropionatemonohydrate in about 6.1 mg water and about 18.2 g P134a is filledthrough the valve.

Example 6

Standard 0.46 mm thick aluminium sheet is spray coated withFEP-Benzoguanamine and cured. This sheet is then deep-drawn into cans.These cans are then purged of air, the valves crimped in place, and asuspension of about 68 mg micronised beclomethasone dipropionatemonohydrate in about 6.1 mg water and about 18.2 g P134a is filledthrough the valve.

Example 7

Standard 2.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith an aqueous dispersion of PFA (Hoechst PFA-6900n) and cured. Thethickness of the coating is between approximately 1 μm and approximately20 μm. These cans are then purged of air, the valves crimped in place,and a suspension of about 68 mg micronised beclomethasone dipropionatemonohydrate in about 6.1 mg water and about 18.2 g P134a is filledthrough the valve.

Example 8

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith PTFE-PES blend (DuPont) as a single coat and cured according to thevendor's standard procedure. The thickness of the coating is betweenapproximately 1 μm and approximately 20 μm. These cans are then purgedof air, the valves crimped in place, and about 68 mg micronisedbeclomethasone dipropionate monohydrate in about 182 mg ethanol andabout 18.2 g P134a is filled through the valve.

Example 9

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith PTFE-FEP-polyamideimide blend (DuPont) and cured according to thevendor's standard procedure. The thickness of the coating is betweenapproximately 1 μm and approximately 20 μm. These cans are then purgedof air the valves crimped in place, and about 68 mg micronisedbeclomethasone dipropionate monohydrate in about 182 mg ethanol andabout 18.2 g P134a is filled through the valve.

Example 10

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith FEP powder (DuPont FEP 532) using an electrostatic gun. Thethickness of the coating is between approximately 1 μm and approximately20 μm. These cans are then purged of air, the valves crimped in place,and about 68 mg micronised beclomethasone dipropionate monohydrate inabout 182 mg ethanol and about 18.2 g P134a is filled through the valve.

Example 11

Standard 0.46 mm thick aluminium sheet is spray coated withFEP-Benzoguanamine and cured. This sheet is then deep-drawn into cans.These cans are then purged of air, the valves crimped in place, andabout 68 mg micronised beclomethasone dipropionate monohydrate in about182 mg ethanol and about 18.2 g P134a is filled through the valve.

Example 12

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith an aqueous dispersion of PFA (Hoechst PFA-6900n) and cured. Thethickness of the coating is between approximately 1 μm and approximately20 μm. These cans are then purged of air, the valves crimped in place,and about 68 mg micronised beclomethasone dipropionate monohydrate inabout 182 mg ethanol and about 18.2 g P134a is filled through the valve.

Example 13

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith PTFE-PES blend (DuPont) as a single coat and cured according to thevendor's standard procedure. The thickness of the coating is betweenapproximately 1 μm and approximately 20 μm. These cans are then purgedof air, the valves crimped in place, and about 13.6 mg micronisedbeclomethasone dipropionate in about 107 mg ethanol and about 21.4 gP227 is filled through the valve.

Example 14

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith PTFE-FEP-polyamideimide blend (DuPont) and cured according to thevendor's standard procedure. The thickness of the coating is betweenapproximately 1 μm and approximately 20 μm. These cans are then purgedof air the valves crimped in place, and about 13.6 mg micronisedbeclomethasone dipropionate in about 107 mg ethanol and about 21.4 gP227 is filled through the valve.

Example 15

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith FEP powder (DuPont FEP 532) using an electrostatic gun. Thethickness of the coating is between approximately 1 μm and approximately20 μm. These cans are then purged of air, the valves crimped in place,and about 13.6 mg micronised beclomethasone dipropionate in about 107 mgethanol and about 21.4 g P227 is filled through the valve.

Example 16

Standard 0.46 mm thick aluminium sheet is spray coated withFEP-Benzoguanamine and cured. This sheet is then deep-drawn into cans.These cans are then purged of air, the valves crimped in place, andabout 13.6 mg micronised beclomethasone dipropionate in about 107 mgethanol and about 21.4 g P227 is filled through the valve.

Example 17

Standard 12.5 ml MDI cans (Presspart Inc., Cary N.C.) are spray-coatedwith an aqueous dispersion of PFA (Hoechst PFA-6900n) and cured. Thethickness of the coating is between approximately 1 μm and approximately20 gm. These cans are then purged of air, the valves crimped in place,and about 13.6 mg micronised beclomethasone dipropionate in about 107 mgethanol and about 21.4 g P227 is filled through the valve.

Examples 18-22

Examples 3 to 7 are repeated except that about 24 mg salbutamol as thefree base or equivalent weight of salt e.g. sulphate with about 12 mgbeclomethasone dipropionate monohydrate in about 364 mg ethanol andabout 18.2 g P134a is filled through the valve.

Examples 23-42

Examples 3 to 22 are repeated except that modified 12.5 ml MDI canshaving a substantially ellipsoidal base (Presspart Inc., Cary N.C.) areused.

Dose delivery from the MDIs tested under simulated use conditions isfound to be constant, compared to control MDIs filled into uncoated canswhich exhibit a significant decrease in dose delivered through use.

We claim:
 1. A metered dose inhaler, comprising: a can having a mouthand an internal surface wherein part or all of said internal surface iscoated with a polymer comprising one or more fluorocarbon polymers,wherein said fluorocarbon polymer comprises monomeric units made fromone or more monomers selected from the group consisting oftetrafluoroethylene, hexafluoropropylene, perfluoroalkoxyalkylene, andvinylidene fluoride; a cap covering said mouth of said can incommunication with a drug metering valve; and an inhalation medicamentformulation, consisting essentially of a medicament formulated with afluorocarbon propellant, wherein the fluorocarbon propellant is1,1,1,2-tetrafluoroethane or 1,1,1,2,3,3,3-heptafluoro-n-propane orcombinations thereof, and optionally one or more excipients selectedfrom the group consisting of preservative, flavoring, antioxidant,antiaggregating agent, ethanol and diethyl ether.
 2. The metered doseinhaler according to claim 1, wherein the fluorocarbon propellant is1,1,1,2-tetrafluoroethane.
 3. The metered dose inhaler according toclaim 1, wherein said one or more fluorocarbon polymers is aperfluorocarbon polymer.
 4. The metered dose inhaler according to claim1, wherein said one or more fluorocarbon polymers is selected from thegroup consisting of polytetrafluoroethylene, perfluoroalkoxyalkylene,and perfluorinated ethylene propylene copolymer.
 5. The metered doseinhaler according to claim 1, wherein said perfluorocarbon polymer ismade from monomeric units comprising perfluorinated ethylene propylene.6. The metered dose inhaler according to claim 1, wherein saidmedicament formulation comprises 0.01 to 5% w/w of ethanol based on theweight of propellant.
 7. The metered dose inhaler according to claim 1,wherein the medicament formulation comprises ethanol.
 8. The metereddose inhaler according to claim 1, wherein the medicament formulationcontains a medicament formulated with said fluorocarbon propellant and0.01 to 5 w/w of ethanol or diethyl ether based on the propellant, saidmedicament formulation being substantially free of surfactant.
 9. Themetered dose inhaler according to claim 1, comprising a can made ofmetal wherein part or all of the internal metallic surface are coatedwith said polymer composition.
 10. The inhaler according to claim 9,wherein the metal is aluminum or an alloy thereof.
 11. A metered doseinhaler system comprising the metered dose according to claim 1 fittedinto a suitable channeling device for oral or nasal inhalation of aformulated medicament.
 12. The metered dose inhaler according to claim1, wherein said one or more fluorocarbon polymers ispolytetrafluoroethylene.
 13. The metered dose inhaler according to claim1, wherein said more fluorocarbon polymers is made from monomeric unitscomprising polyfluoroalkoxyalkylene.
 14. The metered dose inhaleraccording to claim 1, wherein said one or more fluorocarbon polymerscomprises perfluorinated ethylene propylene, which is coated on analuminum can.
 15. The metered dose inhaler according to claim 1, whereinthe thickness of said coating is 1 μm to 1 mm.
 16. The metered doseinhaler according to claim 1, wherein the thickness of said coating is 1μm to 100 μm.
 17. The metered dose inhaler according to claim 1, whereinthe thickness of said coating is 1 μm to 25 μm.
 18. The inhaleraccording to claim 9, wherein said coating is applied to said internalsurface of a preformed can.
 19. The inhaler according to claim 9,wherein said coating is applied by spray coating said polymer.
 20. Theinhaler according to claim 9, wherein said coating is applied by spraycoating said polymer on the internal metallic surface of said can andcuring said coating after it is sprayed.
 21. The metered dose inhaler ofclaim 1, said medicament comprising beclomethasone dipropionate.
 22. Ametered dose inhaler, comprising: a can having part or all of itsinternal surfaces coated with a polymer comprising one or morefluorocarbon polymers, wherein said fluorocarbon polymer comprisesmonomeric units made from one or more monomers selected from the groupconsisting of tetrafluoroethylene, hexafluoropropylene,perfluoroalkoxyalkylene, and vinylidene fluoride; a cap in communicationwith a means for metering an inhalation medicament; and an inhalationmedicament formulation, consisting essentially of a medicamentformulated with a fluorocarbon propellant, wherein the fluorocarbonpropellant is 1,1,1,2-tetrafluoroethane or1,1,1,2,3,3,3-heptafluoro-n-propane or combinations thereof, andoptionally one or more excipients selected from the group consisting ofpreservative, flavoring, antioxidant, antiaggregating agent, ethanol anddiethyl ether.
 23. A metered dose inhaler system, comprising: a metereddose inhaler comprising, a can having a mouth, said can having part orall of its internal surfaces coated with a polymer blend comprising (i)one or more fluorocarbon polymers comprising monomeric units made fromone or more monomers selected from the group consisting oftetrafluoroethylene, hexafluoropropylene, perfluoroalkoxyalkylene, andvinylidene fluoride in combination with (ii) one or more nonfluorocarbonpolymers selected from the group consisting of a polyamide, a polyimide,a polyamideimide, a polyethersulphone, a polyphenylene sulfide and anamine-formaldehyde thermosetting resin; a cap in communication with themouth of the can, the cap containing a drug metering valve capable ofmetering an inhalation medicament formulation; and an inhalationmedicament formulation, comprising 0.005 to 10% by weight ofbeclomethasone dipropionate or a physiological acceptable solvatethereof relative to the total weight of said inhalation medicamentformulation formulated with a fluorocarbon propellant, said fluorocarbonpropellant is selected from the group consisting of1,1,1,2-tetrafluoroethane or 1,1,1,2,3,3,3-heptafluoron-n-propane andcombinations thereof; and a channeling device in communication with saidmetered dose inhaler, said channeling device comprising an actuatingdevice for the valve and a cylindrical or cone shaped passage throughwhich medicament is delivered from the metered dose inhaler.
 24. Amedicament delivery product, comprising: a metered dose inhaler havinginternal metallic surfaces, wherein part or all of said metallicinternal surfaces are coated with a polymer comprising one or morefluorocarbon polymers, wherein said fluorocarbon polymer comprisesmonomeric units made from one or more monomers selected from the groupconsisting of tetrafluoroethylene, hexafluoropropylene,perfluoroalkoxyalkylene, and vinylidene fluoride; and an inhalationmedicament formulation contained in said metered dose inhaler, saidinhalation medicament formulation consisting essentially of a medicamentformulated with a fluorocarbon propellant, wherein the fluorocarbonpropellant is 1,1,1,2-tetrafluoroethane or1,1,1,2,3,3,3-heptafluoro-n-propane or combinations thereof, andoptionally one or more excipients selected from the group consisting ofpreservative, flavoring, antioxidant, antiaggregating agent, ethanol anddiethyl ether.
 25. The product according to claim 24, wherein saidinternal metallic surfaces are part of a drug metering valve.